NPIMap

Organization Active NPI

Galleria Dentistry Legacy LLC

  • General Practice Dentistry
  • Naples, FL
National Provider Identifier
1508977281
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GALLERIA DENTISTRY LEGACY LLC
Practice address
9140 Galleria Court
Naples, FL 34109
Phone
(239) 592-5112
Fax
(239) 592-0254
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chelsea Ann Yanda Benza, DMDNPI 1467837278
Title
Owner/Dentist
Phone
(239) 592-5112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN9062 FL
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9140 Galleria Court
Naples, FL 34109

Mailing address

9140 Galleria Court
Naples, FL 34109
Phone (239) 592-5112

Other identifiers 3

IdentifierTypeStateIssuer
1316322134OtherFLNPI
1467837278OtherFLNPI
1083725758OtherFLNPI

Other names 2

  • Galleria Dentistry Doing business as
  • Galleria Dentistry LC Former legal business name

National Provider Directory

National Provider Directory

Locations

9140 Galleria Ct
Naples, FL 34109
Phone (239) 592-5112

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1508977281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 GALLERIA COURT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34109",
            "telephone_number": "239-592-5112",
            "fax_number": "239-592-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 GALLERIA COURT",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34109",
            "telephone_number": "239-592-5112",
            "fax_number": "239-592-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERIA DENTISTRY LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "BENZA",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "ANN YANDA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "239-592-5112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN9062",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316322134",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467837278",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083725758",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galleria Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Galleria Dentistry LC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.